Tara Anne Coppola, LCSW in Peachtree Corners, GA - Medicare Social Worker Provider

Tara Anne Coppola, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Peachtree Corners, Georgia. Her current practice location is 4006 Holcomb Bridge Rd Ste 210, Peachtree Corners, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 444-4505.

Tara Anne Coppola is licensed to practice in Georgia (license number CSW003058) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952409294.

Contact Information

	Tara Anne Coppola, LCSW
	4006 Holcomb Bridge Rd Ste 210, Peachtree Corners, GA 30092-1814
	(678) 444-4505
	(678) 606-9316

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Anne Coppola
Gender	Female
Speciality	Social Worker - Clinical
Location	4006 Holcomb Bridge Rd Ste 210, Peachtree Corners, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952409294
Provider Enumeration Date: 09/20/2006
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9537130885
Enrollment ID: I20040802001218

Medical Identifiers

Medical identifiers for Tara Anne Coppola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952409294	NPI	-	NPPES
233399379A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW003058 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Anne Coppola allows following entities to bill medicare on her behalf.

Entity Name	Counseling Services Of Atlanta Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508271024 PECOS PAC ID: 8820438716 Enrollment ID: O20240425001327

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Anne Coppola is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tara Anne Coppola, LCSW 1648 Deer Creek Ln, Monroe, GA 30655-6273 Ph: (678) 488-1476	Tara Anne Coppola, LCSW 4006 Holcomb Bridge Rd Ste 210, Peachtree Corners, GA 30092-1814 Ph: (678) 444-4505

Reviews and Comments

Social Worker in Peachtree Corners, GA

Rachelle Wicker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1535 Holcomb Bridge Rd Apt C, Peachtree Corners, GA 30092 Phone: 404-585-0731
Mary Stack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 770-743-0004 Fax: 404-900-5453
Justin Gordon, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 404-900-5450 Fax: 404-900-5453
Mrs. Charney Davis, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6251 Smithpointe Dr Ste 204, Peachtree Corners, GA 30092 Phone: 678-577-8330
Hyunsu Shin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6185 Buford Hwy, Building G, Peachtree Corners, GA 30071 Phone: 770-446-0929 Fax: 770-446-6977
Kara Wickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4319 Allenhurst Dr, Peachtree Corners, GA 30092 Phone: 850-766-3462
Mrs. Dayan Carla Bookman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 404-900-5450

Tara Anne Coppola, LCSW - Medicare Clinical Social Worker in Peachtree Corners, GA